A post-anesthesia care nurse is receiving a report on a patient ...

[Alainaaa8]

A post-anesthesia care nurse is receiving a report on a patient who was delivered under general anesthesia. The operating room nurse states that the patient received a dose of metoclopramide (Reglan) IV in the operating room.
 
  The nurse explains to a student nurse the purpose of giving this drug is to do which of the following?
  A.
  Allow rapid anesthetic induction
  B.
  Increase the speed of gastric emptying
  C.
  Promote muscle relaxation
  D.
  Reduce stomach acid production

Question 2

The woman in labor is complaining of severe back pain. What action should the nurse suggest to the birth partner?
 
  A.
  Apply counterpressure
  B.
  Give a hand massage
  C.
  Perform effleurage
  D.
  Provide therapeutic touch

[matt95]

Answer to Question 1

ANS: B
Reglan increases the speed of gastric emptying, which helps prevent the aspiration of gastric contents. Pregnant women are at a higher risk of gastric reflux than the general population. Rapid induction is facilitated with a short-acting barbiturate such as thiopental sodium (Pentothal). Muscle relaxation can be facilitated with succinylcholine (Anectine). Ranitidine hydrochloride (Zantac) or cimetidine (Tagamet) can be used to decrease gastric acid production.

Answer to Question 2

ANS: A
Counterpressure is performed when the support person uses the fist or heel of the hand to apply steady pressure to the sacral area. This can be especially helpful when the woman is having back pain due to the pressure of the occiput against spinal nerves while the fetus is in a posterior position. Massage has demonstrated some usefulness, but more studies are needed. Effleurage is a gentle stroking technique performed in rhythm with contractions. Therapeutic touch is provided by trained personnel.

[Alainaaa8]

Excellent

[Dnite]

TYSM